Dear Boss: Do you know HOW and

WHEN to cover for someone?

If you’re reading this, my guess is the odds are you find it reassuring to hear that someone’s “got your back!” But let’s get real. That expression means a lot in life-or-death and potentially hazardous situations – no doubt about it! Thankfully, however, most of us are not putting our lives on the line every day as in police, fire and military combat.

So having someone “cover your back” is hardly of value in day-to-day business or family life. For most of us, reality dictates that no one else can really protect your interests except you!

If you want to make sure a job gets done that you are responsible for, either do it yourself or monitor progress to make sure the person you asked to do it, does it! Remember, we can delegate authority to get things done, but we cannot delegate responsibility for getting things done.

Does every assignment or request have to be a leap of faith? No, but until those involved have proven consistently that they can act responsibly, it’s a leap of faith, and how much of a leap depends on the sense of balance, trust, and intuition we practice. And there is no excuse for not checking up, following up, soliciting feedback.

Corporate accountability procedures make delegation slightly easier and more comfortable feeling than handing off tasks tends to be for entrepreneurs and in many family settings . . . and especially in family businesses. Q: When does a delegator step in and take charge, take back, or take over? A: When ultimate responsibility is on the line.

Oh, and not doing something the same way the delegator does something is not grounds for divorce, separation, or interference. In fact, the best leaders are those who see departures from their personal methods and techniques as opportunities to learn – possibly a better way to do something, or gain better input necessary to teach a better way.

But be careful here. “Better” is subjective. “Better” is not always quicker, or more thorough, or more efficient. THIS is one place where knowing when and when not to exercise leadership judgment comes into play.

WHEN DELEGATING – 5 SUGGESTIONS

1) Be observant – Keep things safe!

2) Withhold judgment pending seeing the results, but don’t hesitate to step in if you see evidence of physical, emotional or customer service hazard around the corner.

3) Suggest changes in process carefully and specifically – Criticize behavior or method or technique, NOT THE PERSON – Criticize in private and praise in public!

4) Don’t give a “Got your back!” attitude to someone else. Simply teach by example.  

5) Remember whose ultimate responsibility is on the line!

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O.D.  or  D.O.A. ?

When O.D. (Organizational Development) fails to resuscitate a dying enterprise, there are seldom more than two options to pursue. The first, and most prevalent, is to simply roll the victim organization over and declare it D.O.A. (Dead On Arrival).

The second is more challenging and sings to the accompanyment of opportunities: It’s called O.R. (Organizational Rebirth) and is cornerstoned by an massive infusion of E.L. (Entrepreneurial Leadership).

Every size and type of organization —profit AND nonprofit— comes face-to-face with life-threatening problems at some point (and at least once) in it’s lifetime. Most often, it appears that the malignancy stems from some form of poor management, and more often than not appears to evidence itself as an issue of financial shortcoming.

Example: You can’t run a nonprofit organization that’s not conducting ONGOING fundraising and grant procurement efforts. Regardless of good intentions, without money there’s nothing to run.

When the principals who are involved decide that it’s time  to overhaul, restructure, refurbish, rearrange, rebuild, reinvent . . . go for it! BUT, call it something that organization people can relate to, feel positive about, commit to and enthusiastically support. Ask THEM to brand the project with a name and identity.

It’s the leader’s job to determine the purpose, intent, mission, goals/objectives, strategy, and tactics. It’s the leader’s job to “rally the troops,” motivate and guide, to solicit feedback, to listen 80% of the time. Make-believe leaders push. Real leaders pull!

Remember leaders can delegate authority,

but not responsibility.

When it’s time to choose to fold up or buckle up, don’t choose to make it hard. Don’t choose to make it daunting. Don’t choose to make it more stressful than it may be. Don’t choose to make it overwhelming. Don’t be a drama queen. Don’t be overbearing. Choose instead to think like a leader and act like an entrepreneur.

Reinventing yourself as a person or as an organization doesn’t have to be drudgery or negative or threatening unless you choose it to be. Choose for it to be fun! Choose for it to be easy! Choose for it to be positive! Choose to go with the flow instead of over-analyzing what went wrong.

Choose to keep EVERYTHING

in the “here and now”!

Reality: It’s a far deeper process than changing facepaint. The reinventing-survival experience is rarely a simple one, but that doesn’t mean it can’t be fun and easy. Simply choose –and constantly REchoose to reinforce– for it to be easy and fun. With vigilance, the challenges can turn into opportunities in a blink.

Oh, yes, and it’s okay to blink.

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Hal@Businessworks.US

Healthcare Management Problems

Go Far Beyond Technology Tangles

Thanks to what many doctors regard as excessive and medically-uninformed government intervention, excessive and medically-uninformed insurance company intrusion, and financially inept hospital consolidations, America’s private and hospital-based medical practices are suffering from excessive (and medically-unacknowledged) stress.

Doctors and Staffs find themselves having to be caught up with power-play control battles instead of with innovating and nurturing methodologies for improved case management and patient care. This is not a condemnation of medical technology advances by any means. It is in fact an endorsement for more tech exploration while simultaneously getting back to basics.

Positive stress enables healthcare managers to answer the wake-up call for effective practice management to realistically occur on two fronts at the same time. EMR and EHR systems and skills represent focal point one. Case management, patient care, and patient family care, focal point two.

But negative stress (or “dis-stress”) surfaces when one of these (like, for example, the current fad for dedicated insistence on “lean” healthcare) enslaves the other.

Relentless interruptions of non medically-trained government and insurance regulators who seek to satisfy their self-importance at the expense of doctor, staff, and patient stress levels, have the same effect as throwing gasoline on a fire.

Whether rulings require doctors to spend just 12 minutes per patient (likely headed toward 8 minutes!), or to conduct patient gun ownership surveys, the result is negative stress.

Negative stress feeds medical errors. It takes its toll on the lives of trained professionals and their families. Often, patients and patient families suffer needlessly because of mixed or contradictory signals lost in busy day-to-day clouds of smoke.

Even monster teaching hospitals, including the highest-rated in the country, fail miserably at basic communication skill levels. Doctors don’t talk with one another. They are too pressured to take the time to advocate on behalf of the very patients they serve.  And –worst of all– they fail to communicate with their patients and patient families meaningfully and consistently.

Practice Managers get the short end of the stick.

My best guess: Most Practice Managers end up absorbing 3/4 of all the stress generated by the madness of keeping Herculean time schedules, by catering to the administrative needs of the doctors they serve, by managing the daily barrage of staff, task and insurance management issues, and by having to deliver “customer service psychotherapy” to patients and families.

There are solutions, but they are not one-dimensional. Healthcare can never have universal value unless those charged as providers can have the freedom they need to function without constant government interference and insurance company strangleholds.

The first step to fixing a leak is to stop the leak. This means making extraordinary efforts to channel stress productively and to commit to implementing improved personal communications.  CHECK OUT  Medical Practice Managers

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Hal@Businessworks.US

ENTREPRENEURIAL

LEADERSHIP MEANS…

Being passionate about your ideas and making them work with the help of others. This means, of course, being emotionally committed to what you’re doing 24/7. By doing that, odds are you’ll never have to solicit and recruit others to your crusade. They will see a place for themselves and gravitate there on their own.

When that happens, others’ commitments will be more solid and grounded than if you had gone out hunting for them and then had to talk them into joining forces. It’s a fact: When people make their own decisions about what they want to do, they are happier and more dedicated to achieving results!

Often acting first and planning second. This does NOT mean rashly jumping from the frying pan into the fire. It instead suggests that over-indulgence in evaluating, assessing, diagnosing, and long-term planning (I call it “analysis paralysis”) wastes time, money, energy, and opportunities.

Entrepreneurial leaders take action, make adjustments, act again, make adjustments, and act again. Except for formal loan and investor-required formal business plans, they limit their planning to the short term — hour, day, week, month. And even those plans are temporary and flexible. Watching the finish line causes stumbling and falls.

Always responding instead of reacting. A key ingredient in the success of this pursuit is stress management. Bottom line: If you always respond instead of react, you can never over-react. If you never over-react, you will be faithfully followed. Built snugly into this thinking is this important awareness:

HOW you respond to someone who

or something that is out of control

. . . IS WITHIN YOUR CONTROL.

And we know this because? Because every behavior — yours, your employees’, your customers and prospects — is a CHOICE. It’s just as easy to choose to make a situation easy as it is to choose to make it hard. It may require some conscious stress management effort but, in the end, leadership is measured by ability to gain results through control and responsiveness!

Learning as much as you can about yourself –your SELF– may be the single most important determinant of entrepreneurial leadership because it is the foundation, the cornerstone, of each of the above criteria, and of any others you might add to the list. Without knowing what makes you tick, you cannot pretend to understand others enough to be a true leader. TALK TO YOUR SELF. Oh, and remember to listen!

Hands-on specifics? Keep a journal. Date every entry every day. Separate facing pages into “What Happened” on the left and “How I felt” on the right. This discipline helps sharpen your skills to separate fact and observation from opinion and feelings. Write, draw, diagram, paste photos, spit, whatever floats your boat. It’s YOUR journal.

Attend group and individual “personal and professional growth and development”-type discussion and counseling sessions. Take advantage of local adult education programs that focus on self-expression — from giving speeches and stand-up presentations to writing or painting or photography or music or handicraft courses. DISCOVER YOUR SELF!

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WANT TO BE MORE OF A LEADER?

TALK AND WRITE LIKE A LEADER.

Over 30 years of writing and training business, industry,

healthcare, and academic leadership have taught me

some important words I now share with you . . .

People who regularly incorporate the use of the following kinds of words in their daily conversations and written messages stand tall among the most successful of worldclass leaders.

This magic pack of words is just for openers. You need to be willing to raise your own consciousness about whether the words you use every day are helping you perform to the best of your own leadership ability. This list can, in other words,  get you started. But only you can decide what works best for you and your personal leadership comfort zone.

The point is: Take a couple of minutes to review this list, think about it and assess yourself. If you can change some words you may presently be emphasizing that are not helping you perform, change them! It’s your choice.

Opportunity. Becoming. Challenge. Team. Can. Forward. Focus. Here and Now. Let’s. How? What will it take? Go! Do I understand you correctly to mean . . .? Us. We. Our. Fun. Enjoy! Together. For example. Passion. Try. Enthusiasm. Empathy. Customer. Diagram.  Innovation. Client. Partner. Listening. Self-esteem. Service. Needs. Desires. Learning. Facts. Exciting. God. Illuminating. Choice. Value. Timing.  Self-confidence. Trust. Authenticity. Genuineness. Objectives. Goals. Strategies. Tactics. Specific.  Flexible. Realistic. Ignite. Timeline. Activate. Boost. Stimulate. Care. Compassion. Spark. Consistency. Measure. Hustle. Effort. Reward. Share. Accurate. Recognition. Implement. Respond. Energy. Responsive. Responsible. Behavior. Spirit. Assist. Invigorate. Results. Invest. Humility. Grace. Please. Thank you. Respect.  Grow. Patient. Happiness. Family.

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When Followers Lead Leaders

You think only a weak leader would step aside when followers close rank and try to take over? Maybe you’ve seen too many wild-eyed-pirate-and-rats-desertion-of-sinking-ship themed movies. You may want to revisit your thinking because in a lot more than some cases, stepping aside is an indication of truly superior and truly successful leadership!

There are probably as many avenues to leadership roles as there are leaders, yet none of them reflects the inherent strength-of-leadership qualities of authenticity and transparency as –like raising world-class children— being able to move confidently out of the way when followers (or your kids) take up the flag and charge forward with it.

No one ever said that being a parent or playing a parental role in business and professional practice development would be easy. In fact, parenting of any kind may well be among the hardest of life challenges. On the heels of committing to the ongoing practice of nurturing and investing in self-responsibility, personal and career parenting is certainly job one.

Why would self-development come first? Because if you cannot be true to yourself, you cannot be true to others. If you don’t know and aren’t continually searching out what makes you tick, you can’t possibly be in a position or mindset to lead others. If you don’t value your self and appreciate your own strengths and weaknesses, how can you measure and guide others?

When followers lead leaders, it may be because the leaders have faltered or it may be because the leaders have thrived on showing the way, on lighting the path, on motivating others to see that light AND the path, and on stepping out and onto it.

Weak leaders work at keeping followers following.

Truly great leaders

inspire followers to become leaders.

Which are you? Which are you becoming? Where are you aiming? What’s your target? Your goal? Your objective? How will you get there? The more you help others to grow as leaders, the more you grow as a leader. And since all of this swirls around what you think and how you behave, it’s worth remembering that thoughts and behaviors are a choice.

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Your PEOPLE are your

  most important asset.

Do you think your organization’s product or service inventories are the most valuable assets to protect and nurture? You may want to re-visit where you and your organization/business/professional practice/group/ department/team would be without those who comprise the entity that makes you a leader:  your followers, your people.

Failure to recognize this truism is at your own peril.

Often those who work for and with us can –by virtue of the choices they make– unwittingly draw us into the flames they ignite. And leaders often end up compounding issues that arise by adding more bad choices –like throwing gasoline onto the fire. Victims of circumstance? Rarely.

Victims of failure to nurture and challenge and publically reward and frequently appreciate and reassure is more like it. Laziness and slacking off is more like it. So too is getting too big for one’s leadership britches!

Leadership is a fulltime function and minimizing bad choices is job one.

When leaders fully appreciate and frequently celebrate the performances of those who follow, they are ensuring renewal and continuance of loyalty and perseverance. This is the stuff that has built empires and won wars. The world’s most successful leaders know that the single most important craving that human beings have is for recognition, reassurance, and trust.

Seeking recognition, reassurance and trust is the conscious or unconscious pursuit of practically all human beings in virtually every circumstance of life, and –in addition to employees, associates, staffs, and teammates– this includes the vast majority of all physician and healthcare service patients — even those who go to emergency rooms!

It is our nature as people to look for ongoing approval, reassurance, and trust — a sense that we are performing okay, that we are okay, and that we will be okay.

This does not translate to everyone being neurotic or for leaders having to be shrinks, or having to pat everyone on the head and love every follower. Great leadership is not always transparent!

It translates to the need for leaders to appreciate basic human instincts and directly address them with actions and words by communicating directly, with authenticity and genuineness — instead of ignoring, patronizing or pandering, and beating around the bush. Remember poison ivy often grows around bushes!

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With Volunteers,

Exceptional Leadership

Can Bring Exceptional Success

But working with volunteers demands exceptional leadership. Why? Because anything less can spell exceptional failure and — at the very least– produce exceptional frustration. When a nonprofit, for example, needs to depend on volunteer groups to handle special or ongoing projects, the odds are that one or more of five problem areas will surface.

According to Ed Bancroft, world renown leader in organization and management development, community development, and race relations, the five “Common Problem” areas that emerge in working with volunteer groups consist of:

1) Having too many goals

2) Lack of an adequate contract

3) Lack of leadership and accountability

4) Lack of rewards or recognition

5) Lack of attention to group process

When a volunteer group of any composition attempts to get started, there is a tendency to attempt more than can realistically be accomplished. So the basic tenets of effective goal-setting need to be addressed right from the git-go. Those criteria, together with some other goal-setting thoughts, are here and here and here.

After starting with a Priority Task List, Bancroft suggests charting answers to: WHAT will be done? HOW will it be done? WHO will do it? WHEN will each task be completed? and BY WHAT DATE will the goal be accomplished?

The most successful volunteer groups start with a (very specific) agreement regarding each person’s role and expectations, and in matching each individual’s strengths to the tasks at hand. (Tight agenda) group meetings, (specific) written job descriptions, and a permanent “How Goes It?” focus on ongoing progress are all means to the ends.

A great many volunteer groups stumble along, reluctant to deal directly with leadership accountability. This single shortcoming can undo the best of intentions and efforts. Clear role definition, including having a fulltime volunteer coordinator (or staff member), who links the volunteers with paid staff, helps ensure that volunteer energies are maximized.

Volunteers work for the good of the cause but also for personal recognition, and some form of reward for specific achievements. And, always praise in public! Volunteers should get priority consideration for staff appointments, be offered as much appropriate training as possible.

Remember to appreciate volunteers for what they give up: Besides time and energy, for example, there are often expenses they absorb for baby-sitting, lunches, and transportation. Free or discounted lunches, work time beverages and snacks can go a long way. Some volunteer programs qualify for Federal funds, United Way, or foundation grants to reimburse volunteers.

Most volunteer groups are not tuned into “Process” — how they work together and how they need to work together. They tend to lack awareness of essential communication and decision-making methods. Workshops focused on these skill sets and an appointed (very objective) Process Observer can be designated to provide ongoing feedback on what she or he observes of group dynamics.

 The excitement and enthusiasm levels generated

 in volunteer groups is directly proportionate to

  the attention given to the issues outlined above.

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LIFE & LEADERSHIP SUCCESS

IS ALL ABOUT TIMING!

I am a business and professional practice development specialist –many years, thousands of problems, projects, and people– proof beyond the shadow of a doubt that life and leadership success catapult out of having a highly defined sense of TIMING. Period. Yes, PASSION and ATTITUDE. Yes, INTEGRITY. But without TIMING, there’s no success! None.

This doesn’t mean running around like a headless chicken trying to squeeze twenty-five hours out of every day. It means having enough experience, instinct and sense of direction to know exactly when it’s the right time to say and do, when it’s the right time to back off, when it’s the right time to charge forward, and the right time to take steady steps toward target goals.

Think baseball here, imagine you have the world’s greatest bat swing. But if your bat is too early or too late or at the wrong height to meet the pitch, it means nothing. Wrong words–even right words–at the wrong times cost sales, cost relationships, cost court cases, cost lives. The best, most well-intentioned offers and behaviors made at the wrong times can spell disaster.

So doing and saying the right things may get us through life and look like leadership to others, but if the timing is off, even the best words and behaviors will not produce success. The world’s most successful leaders are those who possess a keenly developed sense of timing–knowing WHEN to speak and WHEN to listen, knowing WHEN to act and WHEN to wait.

Okay, so how do we develop this skill, this sense of awareness about WHEN to do and WHEN to say? Unfortunately, there doesn’t appear to be any quick-fix approach beyond practice, practice, practice. But being aware of the distinctions between having a full arsenal of life and leadership tools, and knowing when to use them, is half the battle.

The thing is are we truly serious about making a difference with our lives? Are we truly serious about building a track-record for effective leadership that teaches by example and that rallies and inspires others to get things done? Then we need to be realistic enough to recognize that gaining the skills and tools is like getting great medical training. It just sets the stage.

Knowing how to say and use what we have at the time that it’s needed to be said and used is what separates leaders from followers. It is what separates those whose lives make a difference, from those who plod aimlessly along the path of least resistance and accomplish little of value in their families, friend and spiritual circles, or the communities they draw from.

Is it time to reassess where we’re headed, and to 

work harder at cultivating our sense of timing?

Good timing is not an accident.   

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So, you think you know

who you are, huh? Really?

Entrepreneurial Leaders are responsive (instead of reactive). They take reasonable risks (which means they don’t bet the farm, or even buy lottery tickets!). They are goal-driven, but focus more on the steps to reach the goal. When something doesn’t work, they make adjustments and try again (vs. corporate/government thinking that produces analysis paralysis!)

Guess what the number one ingredient is in entrepreneurial leadership — any kind, any level (from running a company to running a work crew or department, to running a family or sports team)? It’s knowing yourself. Your SELF. Because unless you know what makes YOU tick, you can never know what makes others tick.

When you don’t know what makes others tick, you’ll never be able to communicate clearly with them . . . because they do NOT think like you think even if you think they do. They don’t. You are unique. No one else has your brain. No one else can reach inside your brain and control it because every one of your behaviors is your choice!

So, are you still with me? If that little bit of awareness is true for you, it is equally true for each person who follows you. To be truly effective as an entrepreneurial leader (as opposed to a robotic leader!), doesn’t mean you have to be a shrink. It means you have to accept that everyone does not think like you, and you need to do your best to figure out what makes them tick.

Just because you may think you’ve “been around the block a few times,” that you’ve “been there, done that and got the t-shirt” doesn’t mean you can dismiss the need to keep learning about yourself and others because these are different times. What worked for you before is not likely to work again for you without some kind of adjustment.

The place to start adjusting, then, is with how, when, and where you absorb new information. Just as you and your life are constantly changing (even, and usually, when you least expect it or are aware of it), so too are the lives of those who look to you for guidance. I’m not suggesting you become a Google-aholic psych student. Just keep yourself alert. Observe. Listen.

Keeping up with all of that is challenging. But isn’t that why you took the job or accepted the responsibility in the first place?

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